Active NPI
Patricia Taczewitz Haynie, R.D., C.D.E.
- Registered Dietitian
- Mobile, AL
National Provider Identifier
1992079297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2166
- Practice address
- 166 Mobile Infirmary Blvd
Mobile, AL 36607-3510 - Phone
- (251) 435-2785
- Fax
- (251) 435-3052
- NPI assigned
- Mar 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2166 | AL | Primary |
Addresses
Primary practice location
166 Mobile Infirmary Blvd
Mobile, AL 36607-3510
Mailing address
P.O. Box 2144
Mobile, AL 36652-2144
Phone (251) 435-2785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1992079297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2144",
"city": "MOBILE",
"state": "AL",
"postal_code": "366522144",
"telephone_number": "251-435-2785",
"fax_number": "251-435-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 MOBILE INFIRMARY BLVD",
"city": "MOBILE",
"state": "AL",
"postal_code": "366073510",
"telephone_number": "251-435-2785",
"fax_number": "251-435-3052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNIE",
"first_name": "PATRICIA",
"middle_name": "TACZEWITZ",
"name_prefix": "Mrs.",
"credential": "R.D., C.D.E.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-05",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "2166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.